URBAN BEHAVIORAL ASSOCIATES DC PLLC (NPI# 1184027633) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1184027633 |
| Entity Type | Organization |
| Organization Name | URBAN BEHAVIORAL ASSOCIATES DC PLLC |
| Other Organization Name | CONGRESS HEIGHTS LIFE SKILLS CENTER |
| Practice Address |
3029 Martin Luther King Jr Ave Se Washington DC 20032-2506 |
| Mailing Address |
2310 N Charles St Baltimore MD 21218-5127 |
| Practice Telephone | 2029714051 |
| Practice Fax Number | 2025630109 |
| Mailing Telephone | 4107793102 |
| Mailing Fax Number | 4102302687 |
| Enumeration Date | 2014-09-29 |
| Last Update Date | 2014-09-29 |
| Authorized Official Name | DR. TRACEE BURROUGHS (CEO) |
| Authorized Official Telephone | 4107793102 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 261QM0801X |
Clinic/Center Specialization: Mental Health (Including Community Mental Health Center) |
Ambulatory Health Care Facilities | ||
| N | 261QM0850X |
Clinic/Center Specialization: Adult Mental Health |
Ambulatory Health Care Facilities | ||
| Y | 261QM0855X |
Clinic/Center Specialization: Adolescent and Children Mental Health |
Ambulatory Health Care Facilities |
| Other Name | Type Code |
|---|---|
| Congress Heights Life Skills Center | Doing Business As Name - Organization |
| Street Address |
3029 MARTIN LUTHER KING JR AVE SE |
| City | WASHINGTON |
| State | DC |
| Zip Code | 20032-2506 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558790063 | Reuben Steele | Social Worker | 3029 Martin Luther King Jr Ave Se, 3rd Floor, Washington, DC 20032-2506 | 2013-11-05 |
| 1962977900 | Tiana Hawkins | Social Worker | 3029 Martin Luther King Jr Ave Se, Washington, DC 20032-2506 | 2018-10-05 |
| 1881182459 | Olumide Akinwumi | Nurse Practitioner | 3029 Martin Luther King Jr Ave Se, Washington, DC 20032-2506 | 2018-04-28 |
| 1831608389 | Emma Aya Kwegyir-afful | Social Worker | 3029 Martin Luther King Jr Ave Se, Washington, DC 20032-2506 | 2017-09-27 |
| 1992246870 | Alexandria Jardine | Social Worker | 3029 Martin Luther King Jr Ave Se, Washington, DC 20032-2506 | 2017-03-13 |
| 1083151245 | Dc Dental Center PC | Dentist | 3029 Martin Luther King Jr Ave Se, Washington, DC 20032-2506 | 2017-01-26 |
| 1093112062 | Mudiwah Abashalom Kadeshe | Registered Nurse | 3029 Martin Luther King Jr Ave Se, Washington, DC 20032-2506 | 2014-11-19 |
| 1407251507 | Deanne Johnson | Social Worker | 3029 Martin Luther King Jr Ave Se, 3rd Fl, Washington, DC 20032-2506 | 2014-10-31 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336753714 | Ebonie Hawkins | Counselor | 101 Xenia St Suite 200 Sw, Washington, DC 20032 | 2020-09-03 |
| 1639788938 | Richard Quinones | Technician | 4346 Livingston Rd Se, B, Washington, DC 20032 | 2020-07-23 |
| 1720603244 | Ankur Sah Swarnakar | Student in an Organized Health Care Education/Training Program | 1100 Alabama Ave Southeast, 2nd Floor, Suite 238, Washington, DC 20032 | 2020-06-10 |
| 1225659519 | Michael Thomas Moore | Counselor | 920 Belview St. Se, Washington, DC 20032 | 2020-04-28 |
| 1144878240 | Erika Kirkpatrick | Behavior Technician | 1218 Southern Ave Apt304 Se, Washgton Dc, DC 20032 | 2019-08-31 |
| 1982251351 | Agazit Asihel | Counselor | Friendship Charter School 645 Milwaukee Pl, Washington Dc, DC 20032 | 2019-08-21 |
| 1538715412 | Omonike Grace Adeosun | Home Health Aide | 2625 Martin Luther King Jr Ave Se, Apt 1, Washington, DC 20032 | 2019-08-15 |
| 1932753571 | Nadesh Mengwi Muluh | Home Health Aide | 2759 Martin Luther King Jr Avenue, Washington, DC 20032 | 2019-08-01 |
| 1376100115 | Kelsey Hobart | Student in an Organized Health Care Education/Training Program | Dc Dbh Seh Psych Residency 1100 Alabama Avenue, Se, Suite 238, Washington, DC 20032 | 2019-05-28 |
| 1407321417 | Abigail Christine Burke | Physical Therapist | 3146 Arnold Avenue Sw, Washington, DC 20032 | 2018-10-05 |
| Find all providers in zip 20032 | ||||
| Taxonomy Code | 261QM0855X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Adolescent and Children Mental Health |
| An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in children and adolescents. Services may be provided to parents and family members of the patient in the form of conjoint, group, or individual therapy, and education and/or training. |
| Notes: [7/1/2003: new] |
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| 1083232425 | Empowerment Is Key, LLC | Clinic/Center | 611 Pennsylvania Ave Se Ste 325, Washington, DC 20003-4303 | 2020-07-13 |
| 1851913941 | Srl Consulting, LLC | Clinic/Center | 1509 Fort Davis Pl Se, Washington, DC 20020-6027 | 2020-05-12 |
| 1487151130 | Wolf Larson Enterprises LLC | Clinic/Center | 1932 Deer Ln, Washington, IL 61571-9679 | 2018-04-10 |
| 1912275694 | New Hope Counseling Services, P. A. | Clinic/Center | 122 S Harvey St, Washington, NC 27889-5033 | 2011-12-08 |
| 1336431006 | Scruples Corporation | Clinic/Center | 2811 Penn Ave Se, Washington, DC 20020-3865 | 2011-05-12 |
| 1396920377 | Center for Student Support Services | Clinic/Center | 1003 K St Nw Ste 405, Washington, DC 20001-4424 | 2008-01-08 |
| 1790999548 | Alternative Solutions for Youth, LLC | Clinic/Center | 1301 Lenfant Square Se, Washington, DC 20020 | 2007-05-10 |
| 1538304373 | Harbor Health LLC | Clinic/Center | 1724 Carolina Ave, Washington, NC 27889-3315 | 2008-12-09 |
| 1902063795 | The Institute for The Prevention & Eradication of Violence | Clinic/Center | 4409 S Capitol St Sw, Washington, DC 20032-2107 | 2008-05-20 |
| City | WASHINGTON |
| Zip Code | 20032 |
Please comment or provide details below to improve the information on URBAN BEHAVIORAL ASSOCIATES DC PLLC.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.